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首页> 外文期刊>Clinical Medicine Insights: Reproductive Health >Factors associated with modern family planning use among women living with HIV who attended care and treatment clinics in Jigjiga town, Eastern Ethiopia
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Factors associated with modern family planning use among women living with HIV who attended care and treatment clinics in Jigjiga town, Eastern Ethiopia

机译：与艾滋病病毒症的妇女与艾滋病毒过多的妇女有关的因素，他在埃塞俄比亚东部Jigjiga镇参加护理和治疗诊所

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Background:Family planning helps to reduce the number of high-risk births and prevent unplanned pregnancies and mother-to-child transmission of HIV. The main purpose of this study was to determine the usage of family planning and its associated factors among women living with HIV who attended care and treatment clinics.Methods:This was a health facility–based cross-sectional study conducted among 332 sexually active reproductive-age women living with HIV who visited care and treatment clinics from 15 April and 15 June 2017. We used a systematic sampling technique for sample selection. The data were collected using pretested and structured questionnaires through face-to-face interviews. Seriously ill women living with HIV who were unable to respond to the questionnaire and refused to participate were excluded from this study. Logistic regression was fitted, and an odds ratio with a 95% confidence interval with a p value less than 0.05 was used to identify factors associated with modern family planning use.Result:The study revealed that the overall use of the modern family planning method was 56.3%, and the most common method used was injectable (37.4%) followed by implants (28.9%). About 19% of the users reported dual contraceptive use. About 58% got family planning from antiretroviral therapy clinics. Almost all the women (97.6%) had heard of seven modern family planning methods. Desire to have another child was the most common (79.7%) reason for not using family planning. Women who attended primary/secondary education (adjusted odds ratio: 2.61; 95% confidence interval: 1.29–5.28], who had no future fertility desire (adjusted odds ratio: 2.94; 95% confidence interval: 1.51–5.73), who had discussed family planning with their husband (adjusted odds ratio: 2.06; 95% confidence interval: 1.04–4.10), and who were counseled by the antiretroviral therapy provider about family planning (adjusted odds ratio: 4.53; 95% confidence interval: 1.70–12.06) were more likely to use family planning methods than their counterparts.Conclusion:The results of this study revealed that the use of modern family planning was low. There is a high frequency of implant usage, fear of mother-to-child transmission as a motivator for family planning usage, and low dual method usage. Hence, improving women’s education, involving husbands, and consistent family planning counseling by antiretroviral therapy providers are promising strategies to improve the uptake of modern family planning by women living with HIV.
机译：背景：计划生育有助于减少高风险分娩的数量，并防止艾滋病毒的意外怀孕和母婴传播。本研究的主要目的是确定在护理和治疗诊所的艾滋病毒患有患有艾滋病毒的妇女的计划生育及其相关因素。方法：这是一个基于卫生的横断面研究，在332个性活跃的生殖中进行了横断面研究 - 患有艾滋病毒的年龄妇女从4月15日和2017年6月15日访问护理和治疗诊所。我们使用了系统选择的系统采样技术。通过面对面访谈使用预测试和结构化问卷收集数据。艾滋病毒的严重妇女无法回应调查问卷并拒绝参加参加的研究被排除在本研究之外。安装了物流回归，并且使用具有95％置信区间的差异比例低于0.05，以识别与现代家庭计划使用相关的因素。结果表明，现代计划生育方法的整体使用量为56.3 ％，使用的最常用方法是注射的（37.4％），然后是植入物（28.9％）。大约19％的用户报告了双重避孕药。大约58％获得了抗逆转录病毒治疗诊所的计划生育。几乎所有的女性（97.6％）听说过七种现代计划生育方法。渴望让另一个孩子是不是使用计划生育的最常见（79.7％）的原因。参加初级/中学教育的妇女（调整赔率比：2.61; 95％置信区间：1.29-5.28]，谁没有未来的生育率欲望（调整的赔率比：2.94; 95％的置信区间：1.51-5.73）讨论与丈夫的计划生育（调整的赔率比率：2.06; 95％置信区间：1.04-4.10），由抗逆转录病毒治疗提供者提供关于计划生育的抗逆转风病毒治疗提供者（调整的赔率比：4.53; 95％置信区间：1.70-12.06）更有可能使用计划生育方法而不是他们的对应物。结论：本研究的结果表明，现代计划生育的使用很低。植入物使用的高频频率，害怕母婴传输作为动力对于计划生育使用和低双重方法使用。因此，改善妇女的教育，涉及抗逆转道病毒治疗提供商的丈夫和一致的家庭计划咨询是有希望改善现代家庭计划的吸收的策略G由艾滋病毒患者的女性。

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